Tara Anastasi
Individual provider Active NPI Pediatric Registered Nurse · Tempe, AZ
NPI 1972035954 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1972035954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- RN123205 (AZ)
- Practice address
- 8700 S Kyrene Rd
Tempe, AZ 85284-2108 - Phone
- (480) 229-8354
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN123205 | AZ | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN123205 | AZ | Yes |
Addresses
Primary practice location
8700 S Kyrene Rd
Tempe, AZ 85284-2108
Mailing address
1838 S Rose Cir
Mesa, AZ 85204-6954
Phone (480) 229-8354
Other providers in Tempe, AZ
- An Amazing Smile, PLLC
- Kenneth O Anaeme
- Leroy Anagho
- Miriam K Anand
- Luna Viva Ananda
- Alan Scott Andacht
- Rosefel Biglete Andaya
- Sonya M Andersen-Haile
- Abigail Mae Anderson
- Jessica Kate Anderson
All providers in Tempe, AZ · Pediatric Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.